A systematic review on the causes of the transmission and control measures of outbreaks in long-term care facilities: Back to basics of infection control

PloS One
Min Hye LeeYeon-Hwan Park

Abstract

The unique characteristics of long-term care facilities (LTCFs) including host factors and living conditions contribute to the spread of contagious pathogens. Control measures are essential to interrupt the transmission and to manage outbreaks effectively. The aim of this systematic review was to verify the causes and problems contributing to transmission and to identify control measures during outbreaks in LTCFs. Four electronic databases were searched for articles published from 2007 to 2018. Articles written in English reporting outbreaks in LTCFs were included. The quality of the studies was assessed using the risk-of-bias assessment tool for nonrandomized studies. A total of 37 studies were included in the qualitative synthesis. The most commonly reported single pathogen was influenza virus, followed by group A streptococcus (GAS). Of the studies that identified the cause, about half of them noted outbreaks transmitted via person-to-person. Suboptimal infection control practice including inadequate decontamination and poor hand hygiene was the most frequently raised issue propagating transmission. Especially, lapses in specific care procedures were linked with outbreaks of GAS and hepatitis B and C viruses. About 60% of th...Continue Reading

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Citations

May 27, 2020·Journal of Gerontological Nursing·Albert Munanga
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Software Mentioned

RoBANS
Review Manager ( RevMan )
Risk of Bias Assessment tool for Nonrandomized Study ( RoBANS )

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